NPI age
11 years
Enumerated 2015-05-22
● Active Type 2 · Organization
Southern Interventional Pain Center Llc
Southern Interventional Pain Center Llc is 1 of 315 pain medicine organizations in Georgia.
Primary specialty
Pain Medicine
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Shokat
Medical Director
Last NPPES update
2020-01-31
Source: monthly bulk 2026-05
How this organization compares
Across 315 active pain medicine providers in Georgia.
NPI age
11 years
↓ 3 yr below median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 48% of peers with subspecialties
NPI lifetime · 2015 → 2026
2015-05Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
615 S Hansell St
Thomasville, GA 317925556
Mailing address
615 S Hansell St
Thomasville, GA 317925556
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2056 Centre Pointe Ln
Tallahassee, FL 323084300
Location 3
619 Sw Baya Dr Ste 102
Lake City, FL 320254204
Authorized official
Maximilian Shokat, D.O.
Medical Director
📞 2292262234
Individual providers at this organization
4 individual providers on file at this primary practice address.
- William Dougherty, PAC Physician Assistant NPI 1063520880
- Roger Pierce, APRN, FNP-C Nurse Practitioner NPI 1578347761
- Maximilian Shokat, D.O. Pain Medicine NPI 1659559789
- Jonathan Tarin, NP-C Family Medicine NPI 1790312387
Specialties
-
Pain Medicine PrimaryInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
-
Psychiatry & NeurologyA Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address. Plus 2 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.